When a client with paranoid schizophrenia has a recurrence of positive symptoms after stopping his
antipsychotic medication to be free of its orthostatic side effect, he is readmitted to the mental health
unit.
The physician orders the resumption of medication. The nurse adds the nursing diagnosis of
"noncompliance with antipsychotic medication regimen related to side effects" to the client's care
plan. What measure should the nurse suggest to the client?
a. Ask the physician about prescribing an anticholinergic drug such as
trihexyphenidyl (Artane).
b. Chew sugarless gum or use sugarless hard candy to moisten oral mucous
membranes.
c. Reduce dosage by 5 mg daily if side effects recur.
d. Wear elastic support hose, stay hydrated, and rise slowly from the lying or sitting
position.
D
Orthostasis produces dizziness or fainting when moving from a lying or seated position to a standing
position. This can be effectively combated by rising slowly. The use of support hose may also be
helpful to prevent pooling of blood in the lower extremities. Options A and B are unnecessary.
Anticholinergic side effects are not the problem. Option C The client should be taught not to
discontinue or adjust the dose of the medication, but rather to report annoying side effects to the
physician or nurse.
You might also like to view...
The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle. What action by the nurse shows an understanding of factors affecting the patient's ultimate return to preinjury function?
a. Encourages the patient to comply with recommendations made by the physical therapist b. Arranges for the patient's meals to be de-livered daily for several weeks after dis-charge c. Assesses the barriers to self-ambulation that exist in the patient's home d. Educates the patient on the importance of a diet that promotes both bone and muscle healing
Select the statement that describes the major site where antiviral action is blocked by the protease inhibitors.
A. The protease inhibitors block the uncoating process of the human immunodeficiency virus by binding to protease. B. The protease inhibitors inhibit the late protein synthesis and processing of the human immunodeficiency virus. C. The protease inhibitors block the ability of the human immunodeficiency virus from attaching and entering the cell membrane. D. The protease inhibitors block the nucleic acid synthesis of the human immunodeficiency virus.
The nurse is admitting a patient to the postanesthesia care unit (PACU) who received halothane and ketamine as anesthesia. What is the nurse's priority assessment?
A) Blood pressure and pulse B) Respirations and airway C) Pain and respirations D) Temperature and airway
Add the following fractions: , , and
What will be an ideal response?